NPI | 1962579292 |
---|---|
Other Name | STEFANIE ELIZABETH LAMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27705) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5735024) |
2251P0200X Physical Therapist, Pediatrics (Licence: WI 5735-024) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2019-10-08 |